Effectiveness of nursing intervention based on SMG health management model in patients with hemiplegia after ischemic stroke
10.3760/cma.j.cn115682-20241217-06914
- VernacularTitle:SMG健康管理模式的护理干预在缺血性脑卒中偏瘫患者中的应用
- Author:
Heyao CAO
1
;
Wenya WANG
1
;
Yuanli GUO
1
Author Information
1. 郑州大学第一附属医院神经内科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Stroke;
Self-mutual-group health management model;
Hemiplegia;
Lower extremity;
Motor function;
Walking ability
- From:
Chinese Journal of Modern Nursing
2025;31(28):3884-3888
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of nursing interventions based on the self-mutual-group (SMG) health management model on self-efficacy, medication adherence, and lower limb functional recovery in patients with hemiplegia after ischemic stroke.Methods:Convenience sampling was used to select 200 patients with hemiplegia after ischemic stroke admitted to the First Affiliated Hospital of Zhengzhou University from February 2022 to January 2024 as study subjects. Patients were randomly assigned to a control group and an SMG group, with 100 patients in each group. Control group received conventional rehabilitation nursing, while SMG group received nursing interventions based on the SMG health management model, with both groups receiving interventions for 12 weeks. Self-efficacy, medication adherence, and lower limb functional recovery between two groups were compared.Results:After 12 weeks of intervention, the Stroke Self-Efficacy Questionnaire score, Various Medication Adherence scores, Fugl-Meyer Assessment Lower Extremity score, step frequency, step speed, stride length ratio, and surface electromyography integral values of the tibialis anterior and gastrocnemius muscles of the affected limb were all higher than those before intervention, and those of SMG group were higher than those of control group. All of the above differences were statistically significant ( P<0.05) . Conclusions:Nursing interventions based on the SMG health management model can improve the self-efficacy and medication compliance of patients with hemiplegia after ischemic stroke, enhance lower limb motor function and walking ability, and promote changes in surface electromyographic signals of the tibialis anterior and gastrocnemius muscles.
